Mrs Jessica Van Linge, LICDC | |
2065 Stoneridge Dr, Circleville, OH 43113-8956 | |
(740) 500-1391 | |
Not Available |
Full Name | Mrs Jessica Van Linge |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2065 Stoneridge Dr, Circleville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124749213 | NPI | - | NPPES |
1124749213 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Primary |
Entity Name | Ohioguidestone |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609123728 PECOS PAC ID: 5597910935 Enrollment ID: O20130308000507 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Van Linge, LICDC 2065 Stoneridge Dr, Circleville, OH 43113-8956 Ph: (740) 500-1391 | Mrs Jessica Van Linge, LICDC 2065 Stoneridge Dr, Circleville, OH 43113-8956 Ph: (740) 500-1391 |
Judson Scott Karshner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 E Mill St, Circleville, OH 43113 Phone: 740-500-1402 | |
Sheena Artrip, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Highland Ave, Circleville, OH 43113 Phone: 740-477-1745 | |
Sujata Baral, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Morris Rd, Circleville, OH 43113 Phone: 740-474-8874 | |
Cassandra Nicole Patterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 E Mill St, Circleville, OH 43113 Phone: 740-500-1402 | |
Matthew David Coy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Morris Rd, Circleville, OH 43113 Phone: 740-474-8874 | |
Caitlin Huston, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2065 Stoneridge Dr, Circleville, OH 43113 Phone: 740-500-1391 | |
Mallorie Dennelle Garrett, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2065 Stoneridge Dr, Circleville, OH 43113 Phone: 740-500-1391 |